Mahida, Nancy Campbell

Mahida, Nancy Campbell is an individual health care provider with primary practice located at 219 Human Services Rd , Clinton SC 29325-7548. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mahida, Nancy Campbell can be contacted via phone (864) 833-6500.

Contact Information

Primary practice address
219 Human Services Rd Clinton SC 29325-7548
Phone: (864) 833-6500
Fax: (864) 833-6905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2382 South Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 5223 South Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CERT # 12122110 South Carolina

Profile Details

NPI number 1710081153
LBN Legal business name Mahida, Nancy Campbell
Credentials LPC, LPC-S, CACII
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Feb 7th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710081153 NPPES
South Carolina MEDICAID 421504

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